2022 Fiscal Year Final Research Report
Development of psychotherapy to improve self-esteem in patients with bulimia nervosa.
| Project/Area Number |
19K21014
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| Project/Area Number (Other) |
18H05822 (2018)
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Multi-year Fund (2019)
Single-year Grants (2018) |
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| Review Section |
0110:Psychology and related fields
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| Research Institution | Kobe Gakuin University |
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Principal Investigator |
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| Project Period (FY) |
2018-08-24 – 2023-03-31
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| Keywords | 神経性過食症 / 摂食障害 / 自尊感情 / 自己概念 / 効果研究 / プロセス研究 |
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| Outline of Final Research Achievements |
Enhancing self-esteem is a treatment that comprehensively improves the multifaceted symptoms presented by bulimia nervosa patients. However, a more flexible framework that can be adapted to the pace of individual patients is needed. In this study, we developed and evaluated an individual therapy to improve patients' self-esteem.
First, we conducted a qualitative analysis of conversations within a group therapy developed by Takeda et al. (2017) to describe the process of increasing patients' feelings of acceptance (Study 1). Next, the psychotherapist's involvement in enhancing the patient's sense of acceptance was discussed, drawing on the findings of Study 1. Then, individual therapy was developed by integrating the psychoeducation and tasks for adjusting the patient's perception of self that was developed in the group therapy (Study 2). Finally, certain validity was confirmed quantitatively (Study 3).
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| Free Research Field |
臨床心理学，心身医学
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| Academic Significance and Societal Importance of the Research Achievements |
感染症拡大の影響もあり改善の余地があるものの，開発された個人療法は自尊感情の向上や摂食障害症状の改善に対する一定の効果をもつと考えられる。この個人療法は，竹田ら（2016）で示された被受容感の向上と自己の捉え方の変容が組み込まれており，いわば統合的に実施されている治療法であるといえる。このことはFairburn (2008)などでは取り組まれていない統合性の高いアプローチとして国際的な注目を集めるものと考えられる。また患者らにとってより実感しやすく馴染みやすい治療法として広く実践されることになり，困難さを有する神経性過食症治療において新たな潮流を生み出す可能性を有していると考えられる。
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